Observer | Without ANN | With ANN | Difference | P* |
---|---|---|---|---|
Precertification radiologists | ||||
A | 0.891 | 0.945 | 0.054 | < .001 |
B | 0.840 | 0.938 | 0.098 | < .001 |
C | 0.850 | 0.950 | 0.099 | < .001 |
D | 0.897 | 0.947 | 0.057 | < .001 |
Average | 0.870 | 0.947 | 0.077 | |
Board certified radiologists | ||||
E | 0.935 | 0.972 | 0.037 | < .001 |
F | 0.887 | 0.915 | 0.028 | < .001 |
G | 0.965 | 0.979 | 0.015 | < .001 |
H | 0.917 | 0.940 | 0.023 | < .001 |
I | 0.911 | 0.922 | 0.010 | < .001 |
Average | 0.923 | 0.946 | 0.023 | |
Overall average | 0.899 | 0.946 | 0.047 | < .001 |
Note:—AUC indicates area under the curve; ANN, artificial neural network;.
* Statistically significant with jackknife method by use of DBM MRMC (multiple readers and multiple cases algorithm developed by Metz et al12–16).